| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
49,593 |
43,119 |
$10.67M |
| 99214 |
|
36,408 |
32,729 |
$7.74M |
| Q3014 |
Telehealth facility fee |
27,822 |
17,463 |
$5.51M |
| D0999 |
|
14,793 |
13,227 |
$3.42M |
| 90834 |
|
11,437 |
8,181 |
$2.50M |
| 90837 |
|
8,539 |
5,757 |
$1.94M |
| H2015 |
Comp comm supp svc, 15 min |
8,186 |
4,344 |
$1.40M |
| 90853 |
|
4,090 |
1,117 |
$925K |
| 90832 |
|
3,608 |
2,959 |
$794K |
| 99392 |
|
2,742 |
2,734 |
$607K |
| 99394 |
|
2,507 |
2,499 |
$553K |
| 99393 |
|
2,327 |
2,317 |
$507K |
| 99391 |
|
2,065 |
1,973 |
$454K |
| 90791 |
|
1,746 |
1,725 |
$384K |
| 99212 |
|
1,666 |
1,579 |
$358K |
| H0038 |
Self-help/peer svc per 15min |
1,402 |
609 |
$332K |
| 99215 |
Prolong outpt/office vis |
1,345 |
1,294 |
$288K |
| 99396 |
|
1,090 |
1,086 |
$251K |
| 99395 |
|
909 |
905 |
$211K |
| G2023 |
Specimen collect covid-19 |
6,578 |
5,846 |
$142K |
| 97803 |
|
580 |
438 |
$131K |
| 0002A |
|
532 |
531 |
$121K |
| 0003A |
|
558 |
558 |
$120K |
| 0001A |
|
471 |
470 |
$107K |
| 99203 |
|
507 |
505 |
$107K |
| 90847 |
|
400 |
319 |
$87K |
| 0012A |
|
259 |
257 |
$59K |
| G0467 |
Fqhc visit, estab pt |
2,074 |
1,735 |
$56K |
| 0011A |
|
230 |
230 |
$53K |
| 97802 |
|
218 |
201 |
$45K |
| 0124A |
|
316 |
316 |
$38K |
| 0072A |
|
157 |
157 |
$36K |
| 0071A |
|
152 |
152 |
$35K |
| 90792 |
|
120 |
120 |
$29K |
| D0140 |
|
919 |
902 |
$19K |
| 0031A |
|
79 |
79 |
$18K |
| D1110 |
|
882 |
881 |
$18K |
| 91301 |
|
634 |
622 |
$13K |
| 0134A |
|
88 |
88 |
$12K |
| H2017 |
Psysoc rehab svc, per 15 min |
51 |
12 |
$12K |
| 0013A |
|
44 |
44 |
$10K |
| 99202 |
|
46 |
46 |
$9K |
| 99381 |
|
41 |
40 |
$9K |
| D0210 |
|
198 |
196 |
$8K |
| H0031 |
Mh health assess by non-md |
33 |
33 |
$7K |
| 91300 |
|
1,734 |
1,613 |
$7K |
| 0073A |
|
19 |
19 |
$4K |
| D0150 |
|
628 |
627 |
$4K |
| 99442 |
|
17 |
17 |
$4K |
| 99441 |
|
18 |
18 |
$4K |
| 80306 |
|
2,703 |
2,366 |
$3K |
| D0274 |
|
515 |
515 |
$3K |
| 87804 |
|
2,004 |
1,975 |
$3K |
| 96110 |
|
2,162 |
2,147 |
$3K |
| D7140 |
|
98 |
68 |
$3K |
| 99204 |
|
13 |
12 |
$3K |
| 0094A |
|
13 |
13 |
$2K |
| 83036 |
|
3,584 |
3,565 |
$1K |
| 0173A |
|
41 |
41 |
$1K |
| D2392 |
|
46 |
39 |
$1K |
| 96372 |
|
3,279 |
3,196 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
13 |
12 |
$1K |
| 87880 |
|
2,075 |
2,044 |
$1K |
| D0330 |
|
41 |
41 |
$1K |
| 81003 |
|
3,914 |
3,677 |
$740.40 |
| 36415 |
|
3,642 |
3,523 |
$721.83 |
| 83655 |
|
914 |
913 |
$686.16 |
| 85018 |
|
1,336 |
1,326 |
$648.51 |
| D0220 |
|
958 |
933 |
$611.37 |
| J1050 |
Medroxyprogesterone acetate |
534 |
532 |
$324.14 |
| 90471 |
|
1,486 |
1,476 |
$320.05 |
| 90461 |
|
3,875 |
3,846 |
$272.70 |
| D2391 |
|
88 |
56 |
$251.00 |
| J3301 |
Triamcinolone acet inj nos |
575 |
570 |
$233.76 |
| 99177 |
|
1,304 |
1,303 |
$233.17 |
| 91307 |
|
342 |
322 |
$231.92 |
| 90647 |
|
157 |
155 |
$224.46 |
| D1208 |
|
69 |
69 |
$224.46 |
| 94010 |
|
60 |
59 |
$216.17 |
| 81025 |
|
2,048 |
1,986 |
$216.01 |
| 99173 |
|
3,068 |
3,062 |
$182.06 |
| 92587 |
|
976 |
975 |
$171.94 |
| 36416 |
|
4,811 |
4,684 |
$136.30 |
| 90734 |
|
701 |
701 |
$131.39 |
| 90756 |
|
924 |
916 |
$96.71 |
| 80348 |
|
254 |
202 |
$89.20 |
| 90460 |
|
6,514 |
6,466 |
$67.53 |
| 3078F |
|
8,375 |
7,059 |
$67.02 |
| 90715 |
|
981 |
980 |
$53.61 |
| J1885 |
Ketorolac tromethamine inj |
120 |
117 |
$32.59 |
| 80305 |
|
545 |
491 |
$29.42 |
| 90648 |
|
329 |
328 |
$23.34 |
| G0008 |
Admin influenza virus vac |
25 |
24 |
$10.55 |
| 3074F |
|
9,627 |
7,919 |
$0.04 |
| 3079F |
|
4,348 |
3,840 |
$0.02 |
| 3077F |
|
1,648 |
1,441 |
$0.02 |
| 90686 |
|
1,359 |
1,355 |
$0.01 |
| D0120 |
|
215 |
215 |
$0.00 |
| 3075F |
|
2,682 |
2,449 |
$0.00 |
| 82044 |
|
24 |
24 |
$0.00 |
| 90698 |
|
743 |
743 |
$0.00 |
| 93000 |
|
499 |
498 |
$0.00 |
| 90680 |
|
978 |
977 |
$0.00 |
| 3080F |
|
1,124 |
1,001 |
$0.00 |
| 90696 |
|
147 |
147 |
$0.00 |
| 92558 |
|
486 |
482 |
$0.00 |
| 90723 |
|
537 |
536 |
$0.00 |
| 94640 |
|
30 |
30 |
$0.00 |
| D0230 |
|
65 |
34 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$0.00 |
| 3044F |
|
60 |
60 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
39 |
39 |
$0.00 |
| 1111F |
|
34 |
34 |
$0.00 |
| 86580 |
|
67 |
65 |
$0.00 |
| D1206 |
|
48 |
48 |
$0.00 |
| 91306 |
|
26 |
26 |
$0.00 |
| 90688 |
|
85 |
85 |
$0.00 |
| 91303 |
|
79 |
79 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 91317 |
|
27 |
27 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 90716 |
|
20 |
20 |
$0.00 |
| 3351F |
|
42 |
42 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |
| 90670 |
|
1,632 |
1,628 |
$0.00 |
| 92588 |
|
1,111 |
1,109 |
$0.00 |
| 90633 |
|
1,012 |
1,008 |
$0.00 |
| 90649 |
|
1,198 |
1,196 |
$0.00 |
| 90710 |
|
634 |
634 |
$0.00 |
| 91312 |
|
316 |
315 |
$0.00 |
| D1120 |
|
173 |
173 |
$0.00 |
| S4993 |
Contraceptive pills for bc |
50 |
41 |
$0.00 |
| 3725F |
|
143 |
138 |
$0.00 |
| D0270 |
|
24 |
24 |
$0.00 |
| 71046 |
|
15 |
14 |
$0.00 |
| 90707 |
|
31 |
31 |
$0.00 |
| 91313 |
|
68 |
68 |
$0.00 |
| 90473 |
|
27 |
27 |
$0.00 |
| 90658 |
|
54 |
54 |
$0.00 |
| 90655 |
|
55 |
55 |
$0.00 |